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The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a scoping review. | PSNet

psnet.ahrq.gov/issue/evolving-curriculum-quality-improvement-and-patient-safety-undergraduate-and-graduate-medical

October 05, 2022 - Review The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a scoping review. Citation Text: Li CJ, Nash DB. The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a …

Increasing adoption of computerized provider order entry, and persistent regional disparities, in US emergency departments. | PSNet

psnet.ahrq.gov/issue/increasing-adoption-computerized-provider-order-entry-and-persistent-regional-disparities-us

May 16, 2012 - Study Increasing adoption of computerized provider order entry, and persistent regional disparities, in US emergency departments. Citation Text: Pallin DJ, Sullivan AF, Espinola JA, et al. Increasing adoption of computerized provider order entry, and persistent regional disparities, in…

Performance of a trigger tool for identifying adverse events in oncology. | PSNet

psnet.ahrq.gov/issue/performance-trigger-tool-identifying-adverse-events-oncology

May 23, 2018 - Study Performance of a trigger tool for identifying adverse events in oncology. Citation Text: Lipitz-Snyderman A, Classen D, Pfister D, et al. Performance of a Trigger Tool for Identifying Adverse Events in Oncology. J Oncol Pract. 2017;13(3). doi:10.1200/jop.2016.016634. Copy Citatio…

The burden of healthcare utilization, cost, and mortality associated with select surgical site infections. | PSNet

psnet.ahrq.gov/issue/burden-healthcare-utilization-cost-and-mortality-associated-select-surgical-site-infections

October 09, 2024 - Study The burden of healthcare utilization, cost, and mortality associated with select surgical site infections. Citation Text: Shambhu S, Gordon AS, Liu Y, et al. The burden of healthcare utilization, cost, and mortality associated with select surgical site infections. Jt Comm J Qual Pa…

Root cause analysis of ICU adverse events in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-icu-adverse-events-veterans-health-administration

June 23, 2021 - Study Root cause analysis of ICU adverse events in the Veterans Health Administration. Citation Text: Corwin GS, Mills PD, Shanawani H, et al. Root Cause Analysis of ICU Adverse Events in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2017;43(11):580-590. doi:10.1016/j.j…

The impact of the use of employee functional flexibility on patient safety. | PSNet

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January 12, 2022 - Study The impact of the use of employee functional flexibility on patient safety. Citation Text: Salvador RO, Gnanlet A, McDermott C. The impact of the use of employee functional flexibility on patient safety. Personnel Rev. 2020;50(3):971-984. doi:10.1108/pr-10-2019-0562. Copy Citatio…

Questionable hospital chart documentation practices by physicians. | PSNet

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August 10, 2011 - Study Questionable hospital chart documentation practices by physicians. Citation Text: Sharma R, Kostis WJ, Wilson AC, et al. Questionable hospital chart documentation practices by physicians. J Gen Intern Med. 2008;23(11):1865-70. doi:10.1007/s11606-008-0750-6. Copy Citation Fo…

Double checking the administration of medicines: what is the evidence? A systematic review. | PSNet

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June 18, 2014 - Review Double checking the administration of medicines: what is the evidence? A systematic review. Citation Text: Alsulami Z, Conroy S, Choonara I. Double checking the administration of medicines: what is the evidence? A systematic review. Arch Dis Child. 2012;97(9):833-7. doi:10.1136/a…

New graduate registered nurses: Risk mitigation strategies to ensure safety and successful transition to practice. | PSNet

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September 28, 2022 - Commentary New graduate registered nurses: Risk mitigation strategies to ensure safety and successful transition to practice. Citation Text: Smith CJ, DesRoches SL, Street NW, et al. New graduate registered nurses: risk mitigation strategies to ensure safety and successful transition to …

Assessing information sources to elucidate diagnostic process errors in radiologic imaging—a human factors framework. | PSNet

psnet.ahrq.gov/issue/assessing-information-sources-elucidate-diagnostic-process-errors-radiologic-imaging-human

May 29, 2019 - Study Assessing information sources to elucidate diagnostic process errors in radiologic imaging—a human factors framework. Citation Text: Cochon L, Lacson R, Wang A, et al. Assessing information sources to elucidate diagnostic process errors in radiologic imaging - a human factors frame…

Implementation of patient safety structures and processes in the patient-centered medical home. | PSNet

psnet.ahrq.gov/issue/implementation-patient-safety-structures-and-processes-patient-centered-medical-home

September 28, 2022 - Study Implementation of patient safety structures and processes in the patient-centered medical home. Citation Text: Oberlander T, Scholle SH, Marsteller JA, et al. Implementation of patient safety structures and processes in the patient-centered medical home. J Healthc Qual. 2021;43(6):…

Aging stigma and the health of US adults over 65: what do we know? | PSNet

psnet.ahrq.gov/issue/aging-stigma-and-health-us-adults-over-65-what-do-we-know

December 23, 2020 - Review Aging stigma and the health of US adults over 65: what do we know? Citation Text: Allen J, Sikora N. Aging stigma and the health of US adults over 65: what do we know? Clin Interv Aging. 2023;18:2093-2116. doi:10.2147/cia.s396833. Copy Citation Format: DOI Google Sch…

Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization. | PSNet

psnet.ahrq.gov/issue/prescribing-patterns-heart-failure-exacerbating-medications-following-heart-failure

January 26, 2022 - Study Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization. Citation Text: Goyal P, Kneifati-Hayek J, Archambault A, et al. Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization. JACC H…

Medication-prescribing errors in a teaching hospital: a 9-year experience. | PSNet

psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospital-9-year-experience

February 10, 2011 - Study Classic Medication-prescribing errors in a teaching hospital: a 9-year experience. Citation Text: Lesar TS, Lomaestro BM, Pohl H. Medication-prescribing errors in a teaching hospital. A 9-year experience. Arch Intern Med. 1997;157(14):1569-76. Copy Cit…

Often overlooked problems with handoffs: from the intensive care unit to the operating room. | PSNet

psnet.ahrq.gov/issue/often-overlooked-problems-handoffs-intensive-care-unit-operating-room

May 25, 2016 - Review Often overlooked problems with handoffs: from the intensive care unit to the operating room. Citation Text: Evans AS, Yee M-S, Hogue CW. Often overlooked problems with handoffs: from the intensive care unit to the operating room. Anesth Analg. 2014;118(3):687-9. doi:10.1213/ANE.00…

"Disruptive behavior" in the operating room: A prospective observational study of triggers and effects of tense communication episodes in surgical teams. | PSNet

psnet.ahrq.gov/issue/disruptive-behavior-operating-room-prospective-observational-study-triggers-and-effects-tense

October 29, 2014 - Study "Disruptive behavior" in the operating room: A prospective observational study of triggers and effects of tense communication episodes in surgical teams. Citation Text: Keller S, Tschan F, Semmer NK, et al. “Disruptive behavior” in the operating room: A prospective observational st…

Multi-professional simulation-based team training in obstetric emergencies for improving patient outcomes and trainees' performance | PSNet

psnet.ahrq.gov/issue/multi-professional-simulation-based-team-training-obstetric-emergencies-improving-patient

July 29, 2020 - Review Emerging Classic Multi-professional simulation-based team training in obstetric emergencies for improving patient outcomes and trainees' performance Citation Text: Fransen AF, van de Ven J, Banga FR, et al. Multi-professional simulation-based team trainin…

The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. | PSNet

psnet.ahrq.gov/issue/fifth-vital-sign-nurse-worry-predicts-inpatient-deterioration-within-24-hours

October 14, 2015 - Study The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. Citation Text: The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. Romero-Brufau S, Gaines K, Nicolas CT, et al. JAMIA Open. 2019;2(4):465-470. Copy Citation …

Systematic review of the impact of physician implicit racial bias on clinical decision making. | PSNet

psnet.ahrq.gov/issue/systematic-review-impact-physician-implicit-racial-bias-clinical-decision-making

May 18, 2022 - Review Systematic review of the impact of physician implicit racial bias on clinical decision making. Citation Text: Dehon E, Weiss N, Jones J, et al. Systematic review of the impact of physician implicit racial bias on clinical decision making. Acad Emerg Med. 2017;24(8):895-904. doi:10…

Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study. | PSNet

psnet.ahrq.gov/issue/assessing-effectiveness-engaging-patients-and-their-families-three-step-fall-prevention

February 19, 2020 - Study Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study. Citation Text: Duckworth M, Adelman JS, Belategui K, et al. Assessing the E…

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